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Permit CITY OF TIGARD MASTER PERMIT 111111 a ' '-- COMMUNITY DEVELOPMENT Permit #: MST2012 -00033 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/08/2012 Parcel: 2S109AB14600 Jurisdiction: Tigard Site address: 13370 SW OUZEL LN Subdivision: ALPINE VIEW Lot: 27 Project: Alpine View, Lot 27 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 942 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 3 Bathrooms: 3 Second: 1037 sf Garage: 784 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 1979 sf Value: $236,384.44 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell- Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn <100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn > =100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits 1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add'I 500 sf: 4 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0 Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amp /volt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio 8 Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other. N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R - 3 1979 Owner: Contractor: LENNAR NORTHWEST INC LENNAR NORTHWEST INC Required Items and Reports (Conditions) 12013 NE 99TH ST #1650 25 ENTERPRISE 1 Ersn Cntrl 503 - 681 -4444 VANCOUVER, WA 98682 ALISO VIEJO, CA 92656 PHONE: 360 - 258 -7900 PHONE: 360 - 258 -7900 FAX: 360 - 258 -7901 Total Fees: $17,322.36 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. A • • `: , egon law re•uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-' ' 10 through OA' 952 -1' -109. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 • 1.800.332.234 • . Issued c : it, Ow / Permittee Signature: 0 _ /Lr►'/ Call 503.639.4176 by 7:00 a.m. for the next available Inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • Building Permit App1 � D • Residential FEB 24 2012 FOR OFFICE USE ONLY City of Tigard r a a TIGARD RDeaci �-112120 His: 0 33 Pe rmit No.: ° 13125 SW Hall Blvd., Ti a t s ' • y jVj$ION Plan Review I Phone: 503.718.2439 F�c[Jl ,. Date/By: �� .5.• Other PermitA Ev 4 , 3 TIGARD Inspection Line: 503.639.4175 Date Ready/By: 1/ Juris: ® See Page 2 for Internet: www.tigard or.gov Notifie shod: or' Supplemental Information ' ' TYPE OF WORK . • . REQUIRED DATA:.1- AND 2- FAMILY DWELLING,' 4.41 w construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (romded to the nearest dollar) of all El Addition /alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the . � • , CATEGORY OF CONSTRUCTION . • . • , • • • work indicated on this application. and 2- family dwelling ❑ Commercial /industrial Valuation: $ "Z34� ' 4 4'4 E1 Accessory building ❑ Multi- family Number of bedrooms: T I ❑ Master builder ❑ Other: Number of bathrooms: 3 • JOB SITE INFORMATION AND LOCATION.. . Total number of floors: 2 Job site address: / -3 Q 6. !.0 • c9ic.7 P j .0.4-74...c, New dwelling area: 1 c aCt square feet ' City /State /ZIP: • 2 • -Z `f 7 -7 ' Garage /carport area: Z square feet Suite/bldg. /apt. no.: Project name: / ire ihr1Ol l/ Covered porch area '2, I 0 square feet 103'T Cross street/directions to ob site: j a.. /-711.. Deck area: square feet C rit1/42 Other structure area: .27 603 square feet `'O <'. REQUIRED DATA: COMMERCIAL -USE CHECKLIST ■ Subdivision:A je v( 6e. I Lot no.:2 Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (romded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION, OF WOB work indicated on this application. Valuation: $ Existing building area square feet New building area: square feet C1--PIEOPERTY OWNER ; .0 TENANT Number of stories: Name: Lg./WNAA ,J�14Z T�G, Type of construction: Address: 2. /D it /1) t= ` / 2.4 lL� Occupancy groups: City /State /ZIP: i , L 9.66 4u o ii 4 g� Existing: Phone: (3(29) --z5y-790 Fax: ( 3‘0) r 6 - 79 9 / New: '. • — PPLICANT . , . ' ' 0 CONTACT PERSON ' '' '' , . BUILDING PERMIT FEES* • r • i j •'' (Please refer to fee schedule) ? Business name:LoN,gie 2/ auk/ 2.�G Structural plan review fee (or deposit): Contact name: A /z �7 ,eiv irk FLS plan review fee (if applicable): Address: /(9 7� , - Wirt Total fees due upon application: City /State /ZIP:L�t�Z. U" !v 60 41 ��f[ CO /� Amount received: 73(_) ' Phone: ( F 4 9 ) Z5 -� _ I o 0 I Fax:: (,4") 5 - -79 7 . . • C �� y /�� o jC , ��'�/" ' PHOTOVOLTAIC SOLAR PANEL SYSTEM F E1z S * • E -mail: T ht �LeiviUgn��m t � 1 Commerc and res prescriptive installation of NTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. Business name:A L! i� .._s4/YLL . Submit two (2) sets of roof plan with connectio, . - • is and fire departm. • t access, along wit • 110 Oregon Address: r ` - • 72-e Solar Installation Sp . ',!ty C. • ecklist. City /State /ZIP: `li1�60 � a-1/4z 6 g>� Permit Fee (inc dan review $180.00 a : • a ministrai • - fees): Phone: (7l 7 S — -99 Fa x: ( .,�C �gv/ Sta te _ • harge (12 %of pennit fee . $21.60 CCB lic.: ! 9 0. d Total fee due upon application: $201.60 Authorized signature: / L am/ This permit application expires if a permit is not obtained �� within 180 days after t has been accepted as complete. Print name: ( ,,. * � L , Dater !� /�_ i Fee methodology set by t has en Building Industry Service Board. I: \Building \Permits \BUP- RESPermitApp.doc 02/24/2011 44046I3T(I 1/02 /COM/WEB) • • • ' RECEIVED 1nEB 24 2012 Electrical Permit Applicatio FOR OFFICE USE ONLY City of Tigard CITY OF TIGARD Date/By, - / k Permit No.: j10, o l i eze,33 1 ° 13125 SW Hall Blvd., Tigard. ING DIVISION Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: ` giAgerta la0037 TIGARD Inspection Line: 503.639.4175 DateReady/11y: furls: ® See Page 2 for Internet: v vw.tigard•or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW New construction ❑ Addition /alteratiol>/replacemr rat Please check nil that apply (submit A sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. . ❑ Demolition ❑ Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or D Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural X 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ' ❑ Multi- family ❑ Master builder ❑ Other: ❑Fire pump. ❑ Installation of 75 KVA cr ['Emergency system, larger separately derived system. • JOB SITE INFORMATION AND LOCATION ['Addition of new motor load of 0 "A", "G ","1- 2 ", "1 -3 ", �/' 100IIP or more- occupancy. Job no.: I Job site address: / 33. - - .. (/o 0 (�l 1 . l �� Os. or more residential units. ❑ Recreational vehicle parks. City /State/ZIP: �" OHcalth -enre facilities. ❑ Supply voltage for more than / r'J 4�Gf / � � T ao` DHazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: V Project name: ['Service or feeder 600 amps ormore. FEE SCHEDULE Cross street/directions to job site: oncenuan I ow. I pee. I Total I New residential single- or multi - family dwelling unit. ' B /d/'hi AV Includes attached garage. • Subdivision: ` Lot no. I,oOO sq. R.orless I 168.54 • J � �� V I 42.. Ea. DM! 500 sq. R. or portion 0k- 33.92 l Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft) i 75.00 775,06 2 ` 7 " , / Limited energy, multi-family iq. 75.00 2 7``CP' S�nL / /y [ LI�i Yvj � L! �//7� ` residential ion ( or feeders above sq. R.) - - . J Services Installation, alteration, and/or relocation 200 amps or less 100.70 2 PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 2 / ,� / 401 amps to 600 amps 200.34 2 Name: L k /_4 ZVeg NC/ 601 amps to 1,000 amps 301.04 2 • Address: a/1) q NE /47 Sf c /e, /4e, Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and /or City /State/ZIP: friLPW y'• `f/ 9& t‘, relocation Phone: go) 2 7 9,;, t , Fax: y60) j5 79P/ 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits- new, alteration, or extension, ecr panel Owner signature: Date: A. Fee for branch circuits with g APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 7 42 2 each branch circuit B. Fee for branch circuits without Business name: Gs t12P /� . 0 /01, i ". service or feeder fee, first 56 - 18 2 Contact name: di J ,, tee �JAG7 fl / : #7' branch circuit '�'/ 1 Each add•I branch circuit 7.42 2 Address: Miscellaneous (service or feeder not included) - City/State/ZIP: Each manufactured or modular 67.84 2 Y d welling, service and/or feeder Phone: ( ) I Pax: • ( ) Reconnect only 67.84 2 • • Pump or irrigation circle 67.84 2 E -mail: CA," f ?r,,ei,fl /gA - k19 / /e7F.a ("t )g1 Sign or outline lighting 67.84 2 •CON111ACTOR Signal circuit(s) or limited - energy Business name: /4h % Z. C/4 < / L 4 . J /17/1 ,,,eh -,' panel, alteration,orexlension. - Pal;e2 2 Each additional inspection over allowable In any of the above Address: 6 SA 36-14 reh J Additional inspection (I hr min) 66.25/ hr /Awl/ Investigation (I hr min) 66.25/11r City /State /ZIP: - 7 �j�GC/� f , Industrial plant (I hr min) 78.18 / hr Phone ( ) 7660-- g�31� I Fax: (533) 7" `/ (9�3 Inspections for which no fee is 90.00 / hr specifically listed (%, hr min) 3 CCB Lie.: /‘' G8 Electrical Lie.: 3 -332 . I Suprv. Lie.: 33 98'5 ELECTRICAL PERMIT FEES � �� i Subtotal: ?71. Z2 Suprv. Electrician signature, required: Plan review (25% of permit fee): Print name: _penhis // Mkt Date: Stale surcharge (12% of permit fee): - • ,5'I ' /J� TOTAL PERMIT FEE: L 7 3 Authorized signature: /jA /i!✓ (//1� Gt ` This permit application expires if a permit is not obtained wit tin 180 AA �� /' days after It hos been accepted as complete. Print name: 7R /1 e444f�f I Date: , �tJL� • Number of inspections allowed per permit. I: tnuild u\E m8Wermil.C•pam « itApp.d 07/01110 L7 .140- 46 t 1 Mechanical Permit App1i OEIVED • FOR OFFICE USE ONLY ed City of Tigard Received Permit No.:� rpoi g _G�?, ' ° 13125 SW Hall Blvd., Tigard,OR 9'12 <• q 4 Plan Pan Review . Phone: 503.718.2439 Fax: 503.598.1.1 ` lan Review Other Permit: at�0 /42 _6Z , Inspection Line: 503.639.4175 p Ins p� Date/By: T I G n R D OF TI GAR D Date R ea d y B y: Jurist 13 See Page 2 for Internet: www.tigard- or.gov Ui D1V1S10N Notified/Method: Supplemental Information LDING TYPE BUI OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees" are based on the value of the work ew construction ❑ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. Value: $ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES" 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: / z -./1 �� © � 2 ,� , ate_ (requires site plan showing placement) 46.75 (�� .J [ / I Furnace 100,000 BTU ( ducts/vents) t 46.75 City/State /ZIP: / /G/9_f� /2, /-X • 972-2-c, Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: a i tizze� Heat pump ""7� (requires site plan showing placement) 61.06 Cross street/directions to job site: .f.", An Duct work 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Subdivision /) �.p , f a I Lot no.: Z Flue /vent for any of above 23.32 �! l�ilJ Other: 23.32 Tax map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 23.32 Gas fireplace 33.39 Flue vent for water heater or gas fireplace - 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 1114P40PERTY OWNER I ❑ TENANT Chimney /liner /flue /vent 23.32 Other: 23.32 Name TM 2 46 G%C.l - �2,t%Ylie--- • Environmental exhaust and ventilation: ^ / , L Range hood/other kitchen Address: .--Z16, .--Z16, /f )-p C 7 �Pi/ equipment 1 33.39 City/State /ZIP: JGziyt e„0.24, l�� it.fif� • qgo,, Clothes dryer exhaust I 33.39 Single -duct exhaust (bathrooms, Phone: (, 7) z5. 9- .79 Fax: (3/0 -Z-S' 79 / toilet compartments, utility rooms) 5 23.32 I1 APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32 Other: 23.32 Business namei,ie_ GL6d.1,- c. J e__ • Fuel piping: Contact name: t _ 4 9 .0 ,4 `%�� /6 %0 ,/. „ ,Q • $14.15 for first four; $4.03 for each additional Address: Q 3 A.,) A" , / Z 9 Furnace, etc. 1 14. (� Gas heat pump City/State /ZIP: - 9 9 ' , Wall /suspended/unit heater Phone: W 0„..59.... 790D / I Fax: : ("Z Z -79 Water heater Fireplace E -mail: _/! r`.. • .4. . . !_, . ii �.. Range l CONTRACTOR Barbecue /� _ - Clothes dryer (gas) Business name: /4/- e.,70 liDiiip doe Other: Address: / ACO 6 , 0%rCCG' K lr/lZ.4i r.[ bvfrt, MECHANICAL PERMIT FEES" City/State /ZIP: (02 v� p� �� d).-- , g Subtotal ` nf). _ r Minimum permit fee ($90.00) Phone: (5'03) 5 57 ZZ W ax: (SO 6-s7 _ (99/.y. Plan review (25% of permit fee) CCB lic.: •77_ & Z� / State surcharge (12% of permit fee) 31 ( . 2-- � � ,� TOTAL PERMIT FEE . 3* f P Authorized signature: `!e/ This permit application expires if a permit is not obtained within 180 � 44. 06 . (, days s after it has been accepted as complete. Print name: (.=x21 J.-flex-Ai/all Datei��� • Fee methodology set by Tri- County Building Industry Service Board I:\ Building \Permits\MEC- PermitApp.doc 09/09/10 440-4617T 11 /02/COM/YEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi- Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to $500.00 Minimum fee $69.06 $500.01 to $5,000.00 $69.06 for the first $500.00 and $3.07 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and $2.81 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and $2.54 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and $2.49 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $2,608.71 for the first $100,000.00 and $2.92 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\ Building \Permits\MEC- PermitApp.doc 09/09/10 2 Plumbing Permit Applicati : CEIVED Building Fixtures FOR OFFICE USE ONLY FEB 2 4 2 012 Date/By 2 ai 1, �l T��a - 3 3 City of Tigard : a P er mit No.: 149 l a 13125 SW Hall Blvd., Tigard, OR � P lan Review �Q Phone: 503.718.2439 Fax: 503 . 1 6pF TIGARD J / gq/p X37 Date/By: Other Permit No. 1 . l c u Inspection Line: 503.639 BUILDING DIVISION Date Ready/By: Juris: 10 See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF -WORK FEE* SCHEDULE ►) ew construction ❑ Demolition For special information use checklist Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement 0 Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection) CATEGORY OF CONSTRUCTION SFR (1) bath 312.70 - an m d 2- family dwelling ❑ Comercial/industrial SFR (2) bath 437.78 El Accessory building SFR (3) bath 1 500.32 56.0. 3Z ry g ❑ Multi- family Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. R) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: / 2..,--3•20 .c , eA i Q C A I 4 �� Catch basin or area drain 18.76 of Drywell, leach line, or trench drain 18.76 City /State/ZIP: �f a0 ,� . '7 Z z ` f Footing drain (no. linear ft.: ) Page 2 Suite/bldg. /apt. no.: P roject name: aL,oi ti, 0 J Manufactured home utilities 50.03 Cross street/directions to job site: A Ai d / , Manholes 18.76 Rain drain connector 18.76 Sanitary sewer (no. linear ft.: J Page 2 Storm sewer (no. linear ft.: ) Page 2 Water service (no. linear ft.: ) Page 2 Subdivisional / >ie Zit e-' I Lot no.: -7 ' Fixture or item: Tax map /parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 L}PIthPERTY OWNER I ❑ TENANT Expansion tank 12.51 � ri(.A /� Fixture /sewer cap 25.02 Name: L`p/lf/VA - A- &771. 20� ,/ ..A .l Floor drain floor sink/hub 25.02 Address: 7 A y , 4 , / 7... .. i7 ./o� Garbage disposal 25.02 City /State/ZIP: l t A A p 6. f j , . . e . , L 44 9 " ?' Hose bib 25.02 Phone: (3�) 7 gyp_ 7g�.� Fax: ( NV 7-.5" 2- .9e/ Ice maker 12.51 PLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02 Business name z... ie .n/I� /A.RP4j Medical gas (value: $ ) Page 2 Contact name: lb.�y �' °-�i��,, /j Primer 12.51 �� f �t G / 4 .. / ., , c a ? /� Roof drain (commercial) 12.51 Address: .7/0 ., v R / 7 , 4 lac.- a = ` , Sink/basin/lavatory 25.02 City/State /ZIP: (/ii4L. ` 1 , - `� , r , _, , ` Solar units (potable water) 62.54 Phone: ( Z - -7940 Fax: : ( ) .- - -7 g N Tub /shower /shower pan 12.51 Urinal 25.02 E- mail:e4� je . Ine.46,11 A ere0., � r , m- . Water closet 25.02 CONTRACTOR Water heater 37.52 Business name: A il, i ,, ,, ice.` ,, l` , to Water piping/DWV 56.29 / Address: "s Other: 25.02 City/State /ZIP: 2i 4/,‘ i 7I(96 Subtotal , nn 52.-- Phone: 5'03) -3 a 41-87 Fax: 65 3 2.x.... DS ' grE) Minimum permit fee: $72.50 CCB Lic.: OZ Plumbing Lic. no.: y2 ' 7.„....., Plan review (25% of permit fee) • State surcharge (12% of permit fee) (Ca Authorized signature: /C % / �� TOTAL PERMIT FEE Q71a Print name:4 //t G ' ��� • Date F / 2 0 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. "Fee methodology set by Tri- County Building industry Service Board. 1:\ Building \ Perm its \PI.MU- PermitApp.doc 10 /01/09 440 -4616T(10 /02/COM/WEB) Plumbing Permit Application - City of Tigard - Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee (ea) Total Square Footage: Permit Fee: Footing drain - 1 V 100' 50.03 0 to 2,000 $121.90 Footing drain - each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer - 1st 100' 62.54 7,201 and greater $327.54 Sewer - each additional 100' 37.52 Water Service - 1st 100' 62.54 Medical Gas Systems: Water Service - each additional 100' 37.52 Valuation: Permit Fee: Storm & Rain Drain - 1st 100' 62.54 $1.00 to $5,000.00 Minimum fee $72.50 Storm & Rain Drain - each additional 100' 37.52 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for Other Inspections or Fees Qty. Fee (ea) Total each additional $100.00 or fraction thereof, to and including $10,000.00. Inspection of existing plumbing or for $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for which no fee is specifically indicated 90.00/hr each additional $100.00 or fraction thereof, to (minimum charge - 1/2 hour) and including $25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for hours (minimum charge - 2 hours) each additional $100.00 or fraction thereof, to Reinspection Fees 90.00/hr and including $50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for (minimum charge - 1/2 hour) each additional $100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping, adding or replacing fixtures? If "yes ", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees * . Plan Review for Plumbing Installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate Baptistry/Font ❑ Any new commercial building with water service 2" and greater, except systems designed and stamped by licensed Bath: - Tub /Shower - Jacuzzi/Whirlpool engineer. Car Wash: -Each Stall ❑ New exterior plumbing site utilities for any complex structure -Drive Stall as defined in OAR918- 780 -0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. Domestic El Any complex structure as defined in OAR918 -780 -0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: - 2" 3" Isometric or Riser Diagram ❑ Isometric or riser diagram is required for new buildings - Car Wash Drain Garbage - Domestic non - food that meet the qualifications above. Disposal: - Domestic food related - Commercial food related - Industrial food related Ice MachiRefrig. Drains Comments regarding fixture work: Oil Separator (Gas Station) Rec. Vehicle Dump Station Shower: -Gang -Stall Sink: -LavBar non -food related - Bradley - Com/Serv/Util food related - Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs, a sewer permit will be issued and Washer - Clothes fees assessed for the sewer increase must be paid before the Water Extractor p Water Closet Toilet plumbing permit can be issued. Urinal Other Fixtures: I: \Building\Permits\PLMF- PermitApp.doc 08/04/2011 2 0 _60,,,,,i_. /LL 11-° - 'Pi Building Division 116 ii i Development Code Provision Review Residential Projects Building Permit No: H 4 1 ao /a• -oad 3 3 CWS Service Provider Letter Received: Yes ❑ No ❑ N/yEZ Routed Plans: Original Plan Submittal Date: 9 1st Revision Submittal Date: ❑ Site Plan Only 2n Revision Submittal Date: ❑ Site Plan Only To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (1) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. Staff: please check items along left only if approved. i Planning Review (contact % at 503-718- i or � l �41/Yi-ty @tigard-or.gov) La d Use Case No. ��"� G?loA� Name AL "Vey (A F� Lt/ Zoning ig- I Setbacks: ) Front / Rear / S Side J Street Side /0 Garage 0/ Maximum Building Height as Actual Building Height tJO 0 Visual Clearance a Easements �jt &A.m. A)! CV Lands Type: Notes: Original Plan: Approved Not Approved ❑ Date: At / / 3.• Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503- 718 -2464 or MikeW @tigard- or.gov) .Actual Slope: 1 Notes: Original Plan: Approved 14 Not Approved ❑ Date: Z Z412..-- Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 Citty / Arborist Review (contact Todd Prager at 503- 718 -2700 or todd @ tigard- or.gov) J jStreet Trees 13 Protected Trees Notes: Original Plan: Approved V Not Approved ❑ Date: a a -201a Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503- 718 -2426 or albert @tigard - or.gov) ❑ Conditions of Approval Prior to Issuance of Building Permit Notes : Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to App cant Okay to Issue Permit: Yes No • Date Routed to Building: j , P r • I Page 2 of 2 • \ RECE ►∎ ■D \ F :24 \ fr 8 t ITY OF TIGARD \ B \ � ,LDING DIVISIO :► 32'-5}' ZB , u' • ' illf 13'0 ilif EROSION ONTROL CINe• ar „*.. PIN . -- 103.00 _ _ m .,,�. AI 1953A - . • , "OAKWOOD" . COVER. ti. � }:.. .. ?o. - WATER . E I I COVERED . AMERICAN ENTR . •:..': > :. ; _ y. , g : (WATER M T END ,; PATIO ,•./:.: SHED . DEC 4 •,r; .' 3;: •,:.':..J A J OF STREE & if f � -STORM LAT to A 1111111111111 . `�► .ANLAS k4j 4 EROSION CONTR ' FENCING V i Olt (4/ ' O _ 701• 46. 97 n � °:�r_�r �.�a•. PROPERTY LINE ..,■ / Ap STREET THE P) r PACIFIC DO - WOOD _ J 2 ,, I I / Ii - L /11 ____ 1..- 1 , 1 I _I DRAWN 02/22/2012 SHG SITE P LA N ALPINE VIEW Contractor is responsible to check site plans and notify designer of any SITUATED IN THE N.E. 1/4 OF SECTION 9, TOWNSHIP errors or omissions prior to start of 2- SOUTH, RANGE 1 -WEST OF THE WILLAMETTE MERIDIAN construction. Also plans and CITY OF TIGARD, WASHINGTON COUNTY, OREGON specifications shall be approved by local building authorities prior or 13370 S.W. OUZEL LANE start of construction. 5,308 SQ. FT. LOT 27 LOT COVERAGE: SETBACK REQUIREMENTS: e LOT AREA: 5308 SQ FT REAR YARD: 15' (FROM P.L.) BUILDING COVERAGE: 1223 SQ FT FRONT (HOUSE): 15' (FROM P.L.) LOT COVERAGE: 23% FRONT (PORCH): FRONT (GARAGE): 20' (FROM P.L.) SCALE STREET SIDE: 10' (FROM P.L.) SIDE: 5' (FROM P.L.) 1 =20' IMPERVIOUS AREA: 772 SQ FT REAR YARD: 15' (FROM P.L) Oregon Residential Specialty Code N1107.2 HIGH - EFFICIENCY INTERIOR LIGHTING SYSTEMS Permit No.: i C.(L o Z a03 Jurisdiction: 5 a e Site Address: / 3 57D 5 (i(,Z&f 4 1 , Subdivision/Lot #: A I ,p Cil'l) and/or Map and Tax Lot #: By my signature below, I certify that a minimum of fifty (50) percent of the permanently installed lighting fixtures in the above mentioned building have been installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. (Oregon Residential Specialty Code N1107.2) Signature: (3 Date: q Owner /General Contractor/Authorized Agent Print Name: 01)16 Y ORSC Section N 1107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this requirement. The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per input watt. I:Building\Forms RES- HighEfficiencyLighting.doc 07/01/08 Oregon Residential Specialty Code R318.2 MOISTURE CONTENT ACKNOWLEDGEMENT FORM I, Z,A 1/44/ J /&'14'13 , am the general contractor or the owner - builder at the following address: Site Address: • /3 7O 9) Do_ G h • City: Permit #: r /!sr Z0JZ - wa3.3 Subdivision/Lot #: /�/ ) ,J'J ` floe J/ and/or Map and Tax Lot #: To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and OAR 918 -480 -0140, I am notifying the building official that I am aware of the moisture content Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement. [Section R318.2 is provided for reference]. R318.2 Moisture Content: Prior to the installation of interior finishes, the building official shall be notified in writing by the general contractor that all moisture- sensitive wood framing members used in construction have a moisture content of not more than 19 percent by dry weight of dry framing members. Signature: @l6` Date: General Contractor or 0 ' e - : uilder I:\ Building\ Form \RES- MoisturesensitiveWood.doc 09/25/08 111. p STREET TREE a „ TIGARD CERTIFICATION OW le0 , owner/ agent for � �� " 6 (PLEASE PRINT) (PERMIT HOLDER) do hereby certiO that the following location meets City of Tigard land use and development standards for street tree installation and is consistent with the approved site plan. PERMIT NO.: I/116Sf' Z01 Z. - C7 SITE ADDRESS: 13370 SW a)ze2 SUBDIVISION: ,4/ j e V e) Z, LOT #: Z7 SIGNATURE: DATE: GI , OWNER/ E ) RECEIVED & 1 � VERIFIED BY DATE: 7_ ( 7 (CITY OF TIGARD) ❑ Tree location verified pe approved site plan. 1:\ Building \Fortes \StreetTreeCertificate 05/30/2012